| Immuhealthcare | |
|
202 Industrial Blvd Ste 503 Sugar Land TX 77478-2702 | |
| (346) 998-9992 | |
| Not Available |
| Full Name | Immuhealthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Industrial Blvd Ste 503, Sugar Land, Texas |
| Authorized Official Name and Position | Devesh Agarwal (OWNER) |
| Authorized Official Contact | 3469989992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immuhealthcare 202 Industrial Blvd Ste 503 Sugar Land TX 77478-2702 Ph: (346) 998-9992 | Immuhealthcare 202 Industrial Blvd Ste 503 Sugar Land TX 77478-2702 Ph: (346) 998-9992 |
| NPI Number | 1861085318 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 06/30/2023 |
| Medicare PECOS PAC ID | 4587067103 |
|---|---|
| Medicare Enrollment ID | O20210720002999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861085318 | NPI | - | NPPES |
| 1R7716 | Other | TX | MEDICARE |
| 428578501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pranav Shukla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578735130 PECOS PAC ID: 4284758376 Enrollment ID: I20110721000149 |
| Provider Name | Devesh Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710116876 PECOS PAC ID: 1052577590 Enrollment ID: I20180517002508 |
| Provider Name | Patricia Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760614655 PECOS PAC ID: 6901071430 Enrollment ID: I20211012001513 |
| Provider Name | Aritra Guha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750875167 PECOS PAC ID: 9638417165 Enrollment ID: I20231024000626 |
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